AR Specialist 3

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

About the role

The AR 3 Representative position is responsible for assisting patients with financial aspects of their hospital service and collecting outstanding balances. In this position, the candidate will also mentor both existing and newly hired patient account representatives on their team. The Senior Commercial PAR Representative will report directly to their supervisor and should have the skills to act as supervisor in their absence.

Responsibilities

• Increase revenue for our client base by efficient account receivable follow-up and resolution.
• Assist supervisor with the coordination and follow-up of all claims from billing through final resolution.
• Assist the team in the review and preparation of claims for manual and/or electronic billing submission.
• Identify billing errors that require correction before resubmission to the payer; educate coworkers on error causes and prevention.
• Assist the supervisor with the review of electronic billing system edits that prohibit clean claim processing.
• Work assigned accounts daily, according to project productivity and quality goals.
• Review and follow up with the team on payment errors, low reimbursement, appeals, denials, etc., providing expertise for resolution.
• Assist with the development of training documentation for new hires and established staff when needed.
• Create and maintain supportive relationships with management and clients.
• Communicate effectively with other departments on client or payer changes that may impact their area.
• Foster an environment where the team feels comfortable asking work-related questions.
• Stay current with all commercial and managed care pricing models, rules, and regulations (including Medicare and Medicaid HMOs).
• Maintain strong knowledge of all commercial payers within their specific project (including Medicare and Medicaid HMOs).
• Maintain professionalism and confidentiality at all times.
• Adhere to all company policies and procedures, including those in the Standards of Business Conduct and Employee Handbook.
• Comply with all applicable laws, regulations, and the company’s governance/compliance program.
• Report violations of company policies, laws, or regulations through available mechanisms.
• Assist with internal control failure remediation efforts.
• Become knowledgeable of internal control responsibilities through training and instruction.
• Ensure accountability for internal control performance within their area of responsibility.
• Participate in the internal controls self-assessment process.
• Communicate concerns about internal control design or performance and process changes to management.

Requirements

• 5+ years of experience in the healthcare reimbursement industry, primarily working with Commercial insurance and Managed Care carriers.
• Strong knowledge and understanding of all line of business contracts.
• 5 years’ experience in healthcare customer service or insurance collections field.
• Strong knowledge of computer billing systems, especially X-claim.
• Ability to train, mentor, and lead a team.
• Experience working with customer support/client issue resolution management.
• Proficiency with MS Office.
• Excellent oral and written communication skills.

Skills & Competencies

• Job/Functional Knowledge: Understands duties and responsibilities; applies functional and technical knowledge effectively; stays current with job knowledge and industry trends.
• Customer Focus: Builds customer confidence; commits to increasing customer satisfaction; assumes responsibility for solving customer problems; solicits customer feedback for improvements.
• Culture Fit: Demonstrates integrity and ethics; adheres to company values; works well autonomously and as a team-player; seeks continuous feedback and learning opportunities.

Pay

The salary range for this role is $23.00 - $26.00 per hour. Specific compensation will vary based on factors including geographic location, candidate experience, applicable certifications, and skills.

Schedule

Minimal travel may be required.

Physical Demands

• Physical Demands: Occasionally moves around the work area; sits; performs manual tasks; operates office equipment; extends arms; kneels; talks and hears. Must occasionally lift and/or move up to 15 pounds.
• Mental Demands: Must follow directions, get along with others, and handle stress.
• Work Environment: The noise level is usually minimal.